Organization Active NPI

Olympia Smiles Dentistry for All Ages

  • Dental Clinic/Center
  • Lacey, WA
National Provider Identifier
1932841624
Registry record updated May 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OLYMPIA SMILES DENTISTRY FOR ALL AGES
Doing business as
Olympia Smiles dentistry for all ages
Practice address
5511 Corporate Center LN SE Suite a
Lacey, WA 98503
Phone
(360) 528-4488
Fax
(360) 528-4490
NPI assigned
Apr 12, 2022
Last updated
May 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Yathindran J Lingam-Nattamai, DDSNPI 1639374325
Title
Dentist
Phone
(360) 528-4488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

5511 Corporate Center LN SE Suite a
Lacey, WA 98503

Mailing address

5511 Corporate Center LN SE Suite a
Lacey, WA 98503
Phone (360) 528-4488

Other names 1

  • Olympia Smiles dentistry for all ages Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address reception@olympiasmiles.com Other
Direct Messaging Address reception@olympiasmiles.com Other

National Provider Directory

National Provider Directory

Locations

5511 Corporate Center Ln SE
Ste A
Lacey, WA 98503
Phone (360) 528-4488

2604 Yelm Hwy SE
Ste A
Olympia, WA 98501
Phone (360) 528-4488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683331200000",
    "number": "1932841624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 CORPORATE CENTER LN SE SUITE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98503",
            "telephone_number": "360-528-4488",
            "fax_number": "360-528-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 CORPORATE CENTER LN SE SUITE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98503",
            "telephone_number": "360-528-4488",
            "fax_number": "360-528-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA SMILES DENTISTRY FOR ALL AGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A",
        "authorized_official_last_name": "LINGAM-NATTAMAI",
        "authorized_official_first_name": "YATHINDRAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-528-4488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reception@olympiasmiles.com",
            "affiliation": "N",
            "endpointDescription": "Olympia smiles",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Olympia Smiles",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Olympia Smiles",
            "address_1": "2604 Yelm Hwy SE Ste A",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985014833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reception@olympiasmiles.com",
            "affiliation": "N",
            "endpointDescription": "Olympia smiles",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Olympia Smiles",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Olympia Smiles",
            "address_1": "2604 Yelm Hwy SE Ste A",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985014833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Olympia Smiles dentistry for all ages",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olympia Smiles dentistry for all ages",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.